With significant changes being announced by the Government in the way the NHS, and in particular General Practice deliver services in the future, Patient Participation Groups (PPGs) are a valuable resource where patients can communicate, canvass ideas, identify solutions to problems, develop services and work together with the Practice Team to ensure the long term viability of the practice and the health and wellbeing of all patients.

Here at Chillington Health Centre, our original internet based PPG was broadened in 2012 to include a lead team of volunteer patients, the Practice Manager, Senior Partner and Office Manager.

The current PPG lead team feel that there is now a new opportunity to build and improve on the existing system, and we have recently met with the Patient Engagement Lead of South Devon and Torbay Clinical Commissioning Group to discuss some ideas to take us forward.

We recognise that a previous decision to include a second wider ‘face to face’ group has become too complicated in practice and therefore we have made the decision to return to a lead team who will represent views from patients and seek the views of others in doing so.

We are inviting you to join our lead team and represent our local patient community across all age ranges representative of the different geographical areas we serve, as well as different age groups, sex, ethnicity, disabilities, beliefs, self-employed, retired, employed, unemployed, in full time education, parents and carers. All we require from you is some of your time. If you would like to join the PPG lead team, please contact Genevieve McBride, Practice Manager, 01548 580214.

I attach a brief survey, in which we would be grateful if you would give us your feedback about your Health Centre to help us understand what patients need; and what we as a PPG can do for you. Your views are important to us.

Thank you for the support you have already given, it is very much appreciated.

If you prefer, you can download the sign up form , print it out, complete it and return it to the practice.

We will be in touch shortly after we receive your form. Please note that no medical information or questions will be responded to.

Many thanks for your assistance

The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998. The Data Protection Act 1998 gives you the right to know what information is held about you and sets out rules to make sure that this information is handled properly.

The Patient Reference Group

If you are happy for the Health Centre to contact you periodically by email please leave your details below and either send the completed form to the Health Centre or hand it in at Reception.

Name:

………………………………………………………………………………………….

Email Address:

…………………………………………………………………….

Postcode :…………………………….

The information below will help to make sure that we receive feedback from a representative sample of the patients registered at this practice.

Your Gender:

Male □

Female □

Your Age:

Under 16 □

65 – 74 □

25 – 34 □

55 – 64 □

17 – 24 □

75 – 84 □

35 – 44 □

Over 84 □

45 – 54 □

The ethnic background with which you most closely identify is:

White

British Group □

Irish □

Mixed

White & Black Caribbean □

White & Black African □

White & Asian □

Asian or Asian British

Indian □

Pakistani □

Bangladeshi □

Black or Black British

Caribbean □

African □

Chinese or Other

Chinese □

Any Other □

How would you describe how often you come to the practice?

Regularly □

Occasionally □

Very rarely □

The Patient Participation Group

All patients aged 16 years or over are eligible to join the PPG and those who have consented to being on the Reference Group automatically become members of the PPG.Without specific consent the names and contact details of patients cannot be made available to other patients or to the patient members of the PPG’s Lead Team.This restricts the ability of both the Health Centre and the PPG to contact patients as a group or in groups on matters of general interest.

CONSENT

I consent to my name and contact details being disclosed to the patient members of the PPG and the Lead Team.